How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier 26 · Professional part Typical Low $70.79 Median $138.04 Typical High $416.87 | Facility | 26 · Professional part | $70.79 | $138.04 | $416.87 |
Aetna Setting Professional Modifier Global Typical Low $199.53 Median $426.58 Typical High $1,288.25 | Professional | Global | $199.53 | $426.58 | $1,288.25 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $97.72 Typical High $229.09 | Professional | 26 · Professional part | $67.61 | $97.72 | $229.09 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $97.72 Median $186.21 Typical High $263.03 | Professional | 52 · Reduced service | $97.72 | $186.21 | $263.03 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $190.55 Typical High $501.19 | Professional | TC · Technical part | $120.23 | $190.55 | $501.19 |
Ambetter Setting Professional Modifier Global Typical Low $128.82 Median $181.97 Typical High $281.84 | Professional | Global | $128.82 | $181.97 | $281.84 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $67.61 Typical High $117.49 | Professional | 26 · Professional part | $52.48 | $67.61 | $117.49 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $95.50 Typical High $186.21 | Professional | TC · Technical part | $95.50 | $95.50 | $186.21 |
AmeriHealth Setting Professional Modifier Global Typical Low $263.03 Median $263.03 Typical High $831.76 | Professional | Global | $263.03 | $263.03 | $831.76 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $87.10 Typical High $131.83 | Professional | 26 · Professional part | $83.18 | $87.10 | $131.83 |
AmeriHealth Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $89.13 Typical High $158.49 | Professional | TC · Technical part | $72.44 | $89.13 | $158.49 |
Capital Blue Cross Setting Professional Modifier Global Typical Low $245.47 Median $338.84 Typical High $630.96 | Professional | Global | $245.47 | $338.84 | $630.96 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $95.50 Typical High $173.78 | Professional | 26 · Professional part | $89.13 | $95.50 | $173.78 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $218.78 Typical High $707.95 | Professional | TC · Technical part | $154.88 | $218.78 | $707.95 |
Cigna Setting Professional Modifier Global Typical Low $190.55 Median $407.38 Typical High $758.58 | Professional | Global | $190.55 | $407.38 | $758.58 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $87.10 Typical High $144.54 | Professional | 26 · Professional part | $53.70 | $87.10 | $144.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $302.00 Typical High $630.96 | Professional | TC · Technical part | $123.03 | $302.00 | $630.96 |
Emblem Health Setting Professional Modifier Global Typical Low $199.53 Median $269.15 Typical High $1,000.00 | Professional | Global | $199.53 | $269.15 | $1,000.00 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $93.33 Typical High $125.89 | Professional | 26 · Professional part | $69.18 | $93.33 | $125.89 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $169.82 Typical High $218.78 | Professional | TC · Technical part | $128.82 | $169.82 | $218.78 |
Geisinger Setting Professional Modifier Global Typical Low $181.97 Median $338.84 Typical High $616.60 | Professional | Global | $181.97 | $338.84 | $616.60 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $83.18 Typical High $147.91 | Professional | 26 · Professional part | $60.26 | $83.18 | $147.91 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $218.78 Typical High $489.78 | Professional | TC · Technical part | $112.20 | $218.78 | $489.78 |
Highmark BCBS Setting Professional Modifier Global Typical Low $208.93 Median $229.09 Typical High $416.87 | Professional | Global | $208.93 | $229.09 | $416.87 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $85.11 Typical High $123.03 | Professional | 26 · Professional part | $75.86 | $85.11 | $123.03 |
Highmark BCBS Setting Professional Modifier 52 · Reduced service Typical Low $40.74 Median $40.74 Typical High $194.98 | Professional | 52 · Reduced service | $40.74 | $40.74 | $194.98 |
Highmark BCBS Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $223.87 Typical High $229.09 | Professional | TC · Technical part | $186.21 | $223.87 | $229.09 |
Independence Blue Cross Setting Professional Modifier Global Typical Low $218.78 Median $263.03 Typical High $831.76 | Professional | Global | $218.78 | $263.03 | $831.76 |
Independence Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $87.10 Typical High $169.82 | Professional | 26 · Professional part | $83.18 | $87.10 | $169.82 |
Independence Blue Cross Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $234.42 Typical High $2,570.40 | Professional | TC · Technical part | $70.79 | $234.42 | $2,570.40 |
Martin's Point Setting Facility Modifier 26 · Professional part Typical Low $70.79 Median $131.83 Typical High $416.87 | Facility | 26 · Professional part | $70.79 | $131.83 | $416.87 |
Martin's Point Setting Professional Modifier Global Typical Low $199.53 Median $426.58 Typical High $1,258.93 | Professional | Global | $199.53 | $426.58 | $1,258.93 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $100.00 Typical High $223.87 | Professional | 26 · Professional part | $67.61 | $100.00 | $223.87 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $100.00 Median $177.83 Typical High $295.12 | Professional | 52 · Reduced service | $100.00 | $177.83 | $295.12 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $213.80 Typical High $562.34 | Professional | TC · Technical part | $125.89 | $213.80 | $562.34 |
Oscar Health Setting Professional Modifier Global Typical Low $70.79 Median $151.36 Typical High $354.81 | Professional | Global | $70.79 | $151.36 | $354.81 |
UPMC Health Plan Setting Facility Modifier 26 · Professional part Typical Low $69.18 Median $69.18 Typical High $81.28 | Facility | 26 · Professional part | $69.18 | $69.18 | $81.28 |
UPMC Health Plan Setting Professional Modifier Global Typical Low $190.55 Median $190.55 Typical High $549.54 | Professional | Global | $190.55 | $190.55 | $549.54 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $69.18 Typical High $81.28 | Professional | 26 · Professional part | $67.61 | $69.18 | $81.28 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $123.03 Typical High $467.74 | Professional | TC · Technical part | $120.23 | $123.03 | $467.74 |
United Setting Professional Modifier Global Typical Low $181.97 Median $288.40 Typical High $707.95 | Professional | Global | $181.97 | $288.40 | $707.95 |
United Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $83.18 Typical High $165.96 | Professional | 26 · Professional part | $61.66 | $83.18 | $165.96 |
United Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $186.21 Typical High $616.60 | Professional | TC · Technical part | $117.49 | $186.21 | $616.60 |
Where Pennsylvania sits
The same service costs 2.6 times more in Wisconsin than in Oklahoma. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Pennsylvania· 24th of 51
$427
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.